Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Wound Clinic-Klamath Falls

Organization Specialist · NPI 1134388713

Lake Wound Clinic-Klamath Falls is a Specialist in Klamath Falls, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
2

Practice location Address checks out

2850 Daggett Ave
Klamath Falls, OR 97601-1107
Phone: (541) 517-5169
Fax: (541) 273-1147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Specialist Taxonomy 174400000X · Licence N/A (OR)

Record details

NPI number1134388713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Bongiovanni — Manager · (541) 517-5169
NPI enumeratedJune 9, 2008
Last updated in NPPESJune 9, 2008
Mailing address2850 Daggett Ave, Klamath Falls, OR 97601-1107

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